Journals

This study examined the frequency of disruptions in maternal-infant bonding within a pediatric asthma population. Two groups, 30 mothers of asthmatic children and 30 mothers of well children, were interviewed through the Maternal Infant Bonding Survey (M.I.B.S.) to study the frequency of non-bonding events in the birth histories of their children. Raters determined that 86% of the asthmatic children were non-bonded as compared to 26% of the well children. The often noted relationship of childhood asthma and maternal rejection/over-protection is re-examined, and a treatment for pediatric asthma targeted at repairing psychological effects of maternal-infant non-bonding is discussed.

Tony Madrid is a clinical psychologist and clinical director of Erickson Institute in Santa Rosa, California. He has had an adjunct professor appointment at University of San Francisco since 1977 and has been in private practice for 20 years. Melissa Schwartz is a clinical psychologist and is an adjunct professor at Sonoma State University in the Psychology and Counseling departments. She is in private practice in Santa Rosa, California. Please address proofs and correspondence to: Melissa Schwartz, Ph.D.; 818 Cherry Street; Santa Rosa, CA 95404.

APPENDIX A

Maternal-Infant Bonding Questionnaire

1. Why is your child being seen today? (if applicable)

2. How old were you when this child was born?_________years

3. What were the ages of your older children (if any) at the time of this child's birth?

4. Did you have any miscarriages during the two years before this child's birth? Yes/No. If yes, how far along were you?_________ weeks

5. Was there any death in the family during the two years before this child was born? Yes/No. If yes, relationship to you

6. What was your physical condition during the pregnancy? (Check one only)

____ very seriously ill

____ poor

____ average

____ good

____ excellent

Please describe any conditions you experienced.

7. What was your emotional condition during pregnancy? (Check one only)

____ very seriously ill

____ poor

____ average

____ good

____ excellent

Please describe any conditions you experienced.

8. In what hospital was your child born?

9. Please describe any complications at birth.

10. Please describe any anesthesia used during the birth.

11. Was your child delivered by cesarean section? Yes/No.

12. Was your child a twin, triplet, etc.?

13. How long was it after your child's birth before you first saw him/ her?

____ 0-30 minutes

____ 30-60 minutes

____ 60-90 minutes

____ over 90 minutes (how long?_________)

How long were you together?

____ 0-30 minutes

____ 30-60 minutes

____ 60-90 minutes

____ over 90 minutes (how long?_________)

14. How long was it after your child's birth before you first held him/her?

____ 0-30 minutes

____ 30-60 minutes

____ 60-90 minutes

____ over 90 minutes (how long?_________)

How long did you hold him/her at that time?

____ 0-30 minutes

____ 30-60 minutes

____ 60-90 minutes

____ over 90 minutes (how long?_________)

15. After delivery, where was your child placed? (Check one only)

____ the hospital nursery

____ an intensive care nursery

____ an incubator

____ other (describe)__________________________________

16. Was there any significant separation from your child in the first year? Yes/No. If yes, for how long?______________________

17. Were there any deaths in the family during the child's first year? Yes/No. If yes, relationship to you__________________

18. Did you experience any serious emotional difficulties during your child's first year? Yes/No.

19. How did you feel when you first held your baby?

THANK YOU FOR YOUR PATIENCE AND COOPERATION!

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